Please answer honestly and completely. Your responses are confidential.
Click the button below to start.
Question 1 of 11
What’s your name? (first and last)
Question 2 of 11
What’s the best email address to reach you?
Question 3 of 11
What are your top 2–3 income goals for the next 90 days?
(Be specific — revenue numbers, shifts away from 1:1, stability, etc.)
Question 4 of 11
Why is achieving this income shift important to you right now?
(What would change in your life, stress level, or decision-making if income felt steadier and growing?)
Question 5 of 11
(such as capacity, burnout, pricing, fear, inconsistency, avoidance, etc.)
Question 6 of 11
Question 7 of 11
Are you willing and able to take an honest look at your current financial picture — including revenue numbers, volatility, and capacity constraints?
Yes — I’m ready to look clearly at the numbers
I’m willing, even if it’s uncomfortable
I would prefer to focus only on future growth
Question 8 of 11
Dietitian Wealth Accelerator encourages making at least one revenue shift during the 12 weeks. How does that feel?
That’s exactly what I’m looking for
I’m ready, but I’ll need structured guidance
I’m more interested in clarity than implementation
Question 9 of 11
Dietitian Wealth Accelerator is a high-touch experience and requires a
financial investment of $1600/month and a 3-month commitment.
If it’s a strong fit, are you prepared to invest at that level?
Yes – I’m ready and able to invest in myself
I’m ready to invest, and I’d need a flexible payment plan to make it work
No – I’m not in a place to invest in coaching right now
Question 10 of 11
If accepted, when would you want to begin?
Immediately (within the next week)
Within 1 month
Just exploring for now
Question 11 of 11
Is there anything about your current life season, capacity, or financial situation that would impact your ability to fully engage in a 12-week, implementation-focused program?